STANLEY SOOYOUN KIM (NPI# 1578065553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578065553 |
| Entity Type | Individual |
| Full Name | STANLEY SOOYOUN KIM |
| Practice Address |
609 Hazelton St Maricopa CA 93252 |
| Practice Telephone | 6614164096 |
| Mailing Telephone | 6614164096 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | D5481793 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962805101 | Stanley Kim | Dentist | 7839 Eastern Avenue, Suite #7842, Baltimore, MD 21224 | 2014-10-02 |
| 1306940705 | Stanley I Kim | Internal Medicine | 981 W Foothill Blvd, Claremont, CA 91711-3304 | 2006-09-08 |
| 1306850433 | Stanley Kim | Specialist | 34 Progress St # 36, Suite A7, Edison, NJ 08820-1103 | 2006-07-27 |
| 1871578252 | Stanley H Kim | Neurological Surgery | 8333 Cross Park Dr, Austin, TX 78754-5154 | 2005-12-08 |
| 1801245535 | Stanley Kim | Internal Medicine | 2100 Dorchester Ave, Dept. of Medicine, Dorchester, MA 02124-5615 | 2016-06-03 |
| 1093933400 | Stanley Shinyeong Kim | Dentist | 701 S Raymond Ave Ste 4b, Fullerton, CA 92831-5201 | 2007-04-23 |
| 1003837840 | Stanley S. Kim | Ophthalmology | 3663 W 6th St, Suite #200, Los Angeles, CA 90020-3049 | 2006-07-21 |
| 1437188018 | Stanley Kim | Radiology | 25 N Winfield Rd, Winfield, IL 60190-1295 | 2006-07-03 |
| 1790779791 | Stanley T Kim | Radiology | 2300 Children's Plaza, No. 9, Children's Memorial Hospital, Chicago, IL 60614 | 2005-09-06 |
| Street Address |
609 HAZELTON ST |
| City | MARICOPA |
| State | CA |
| Zip Code | 93252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255637252 | Maricopa Unified School District | Local Education Agency (LEA) | 955 Stanislaus St, Maricopa, CA 93252-9779 | 2011-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598253 | Pinnacle Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 45369 W Horse Mesa Rd, Maricopa, AZ 85139-9128 | 2020-11-03 |
| 1912508342 | Dbotc LLC | Driver | 20987 N John Wayne Pkwy # B104-289, Maricopa, AZ 85139-2926 | 2020-11-03 |
| 1205436474 | Cherilin Michelle Diefenbacher-phariss | Social Worker | 43180 W Arizona Ave, Maricopa, AZ 85138-8232 | 2020-10-27 |
| 1528666039 | Rehoboth LLC | Residential Treatment Facility, Emotionally Disturbed Children | 46136 W Mountain View Rd # A, Maricopa, AZ 85139-6796 | 2020-10-16 |
| 1982202594 | Olugus Family Care | Psychologist | 44077 W. Palmen Dr., Maricopa, AZ 85138 | 2020-10-15 |
| 1790383701 | Alliance Oncology of Arizona, LLC | Radiology | 21300 N John Wayne Pkwy Ste 116, Maricopa, AZ 85139-8978 | 2020-10-12 |
| 1881292068 | Jacquelyn Awosika | Case Manager/Care Coordinator | 20148 N Donithan Way, Maricopa, AZ 85138-2428 | 2020-10-11 |
| 1649877945 | Serene Home Healthcare LLC | Nurse's Aide | 37302 W Bello Ln, Maricopa, AZ 85138-5072 | 2020-10-08 |
| 1659988210 | Vision Lakes Consulting Group | Case Management | 21352 N Denton Dr, Maricopa, AZ 85138-9559 | 2020-09-28 |
| 1962019646 | Lisa Ann Rosenstock | Doula | 42037 W Quinto Dr, Maricopa, AZ 85138-2590 | 2020-09-28 |
| Find all providers in MARICOPA | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508342 | Dbotc LLC | Driver | 20987 N John Wayne Pkwy # B104-289, Maricopa, AZ 85139-2926 | 2020-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961730 | Diego Alberto Veyna | Driver | 26355 Gading Rd, Hayward, CA 94544-3211 | 2020-10-28 |
| 1760081335 | Lauren Elizabeth Yoder | Driver | 2520 Bishop Dr Apt 100, Bakersfield, CA 93306-1070 | 2020-10-23 |
| 1548868979 | Yesenia Castillo | Driver | 2668 Inman Ave, Stockton, CA 95204-2649 | 2020-10-16 |
| 1922605708 | Mazen Ali | Driver | 6846 Caminito Montanoso Unit 16, San Diego, CA 92119-2336 | 2020-10-05 |
| 1104423201 | Fanuel Ghebremichael | Driver | 968 Village Cir, Oakland, CA 94607-3151 | 2020-10-02 |
| 1326645391 | H Dijon Hyder | Driver | 15000 7th St Ste 208c, Victorville, CA 92395-3853 | 2020-10-02 |
| 1568069623 | Haileab M Mosazghi | Driver | 215 W Macarthur Blvd Apt 512, Oakland, CA 94611-5338 | 2020-10-02 |
| 1205448024 | Richard Roybal | Driver | 4514 Valley West Blvd Apt A, Arcata, CA 95521-4685 | 2020-08-21 |
| 1356953624 | G & G Medical Transport Kern Inc | Driver | 525 W Main St Ste 120, Visalia, CA 93291-6169 | 2020-08-18 |
| 1841801636 | Sheila Renee Hill | Driver | 1931 Cedar Ridge Dr Apt 23, Stockton, CA 95207-4635 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.